The haemodynamic effects of umbilical cord milking in term infants: a randomised controlled trial

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dc.contributor.authorTekin, Mehmet
dc.contributor.authorGokdemir, Mahmut
dc.contributor.authorToprak, Erzat
dc.contributor.authorSilahli, Musa
dc.contributor.authorEnergin, Hasan
dc.contributor.authorGokmen, Zeynel
dc.date.accessioned2024-02-23T14:26:44Z
dc.date.available2024-02-23T14:26:44Z
dc.date.issued2023
dc.departmentNEÜen_US
dc.description.abstractIntroduction: Umbilical cord milking (UCM) is a method that allows for postnatal placental transfusion. The benefits of UCM have been demonstrated in some studies, but knowledge about its haemodynamic effects in term infants is limited. The aim of this study was to evaluate the haemodynamic effects of UCM in term infants. Methods: In this prospective, randomised controlled study, 149 healthy term infants with a birth week of >= 37 weeks were randomly assigned to either the UCM or immediate cord clamping (ICC) group. Blinded echocardiographic evaluations were performed in all the neonates in the first 2-6 h. Results: Superior vena cava (SVC) flow measurements were higher in the UCM group compared to the ICC group (132.47 +/- 37.0 vs. 126.62 +/- 34.3 mL/kg/min), but this difference was not statistically significant. Left atrial diameter (12.23 +/- 1.99 vs. 11.43 +/- 1.78 mm) and left atrium-to-aorta diastolic diameter ratio (1.62 +/- 0.24 vs. 1.51 +/- 0.22) were significantly higher in the UCM group. There were no significant differences in other echocardiographic parameters between the two groups. Conclusion: We found no significant difference in the SVC flow measurements in term infants who underwent UCM versus those who underwent ICC. This lack of significant difference in SVC flow may be explained by the mature cerebral autoregulation mechanism in term neonates.en_US
dc.identifier.doi10.11622/smedj.2022041
dc.identifier.endpage443en_US
dc.identifier.issn0037-5675
dc.identifier.issn2737-5935
dc.identifier.issue7en_US
dc.identifier.pmid35366660en_US
dc.identifier.scopus2-s2.0-85165220785en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage439en_US
dc.identifier.urihttps://doi.org/10.11622/smedj.2022041
dc.identifier.urihttps://hdl.handle.net/20.500.12452/14314
dc.identifier.volume64en_US
dc.identifier.wosWOS:001033796100005en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofSingapore Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEchocardiographyen_US
dc.subjectInfanten_US
dc.subjectPerinatal Careen_US
dc.subjectSuperior Vena Cavaen_US
dc.subjectUmbilical Corden_US
dc.titleThe haemodynamic effects of umbilical cord milking in term infants: a randomised controlled trialen_US
dc.typeArticleen_US

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